
Transportation as a Litigation Expense in Illinois
Under IRPC 1.8(e), Illinois attorneys may advance medical transport as a reimbursable case expense.
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Dream Care Rides is a licensed NEMT provider. We do not provide emergency ambulance or paramedic services.
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April 6, 2026 | Otse Amorighoye, NPI #1033989991 | 9 min read

Original Medicare (Parts A and B) does not pay for transportation to doctor appointments. However, many Medicare Advantage plans include non-emergency medical transportation (NEMT) as a covered benefit, and dual-eligible patients with both Medicare and Medicaid can access free rides to every medical appointment. This guide breaks down exactly what Medicare covers, which Medicare Advantage plans in Illinois include transportation, and what alternatives exist when your plan does not pay for rides.
If you need a ride to a doctor appointment right now, call Dream Care Rides at (708) 505-6994 or book online. We accept Medicare Advantage transportation benefits, Medicaid, and private pay.
Original Medicare consists of Part A (hospital insurance) and Part B (medical insurance). Together, they cover doctor visits, hospital stays, lab tests, preventive screenings, and durable medical equipment. They do not cover non-emergency medical transportation.
The only transportation benefit under Original Medicare is emergency ambulance transport. Medicare Part B pays for ambulance rides when a patient's medical condition requires it — meaning the patient is bed-confined, needs medical monitoring during transport, or faces an immediate health emergency. A routine doctor appointment does not qualify.
This gap leaves millions of Medicare beneficiaries without a reliable way to get to the doctor. According to the Community Transportation Association of America, 3.6 million Americans miss or delay medical appointments each year because of transportation barriers. Seniors on Original Medicare are disproportionately affected because they are more likely to have stopped driving and less likely to have family members available during weekday appointment hours.
Medicare Advantage (Part C) plans are offered by private insurers approved by Medicare. Unlike Original Medicare, these plans can include supplemental benefits — and NEMT is one of the most popular. Approximately 70% of Medicare Advantage plans nationwide now offer some form of transportation benefit.
The following Medicare Advantage plans in Illinois include transportation to doctor appointments:
Meridian Complete is a dual-eligible special needs plan available across Illinois. It includes NEMT to all covered medical services, including primary care, specialist, and therapy appointments. Members typically receive 24 to 48 one-way trips per year. As a D-SNP plan, it is available only to patients who have both Medicare and Medicaid.
Molina's D-SNP plan provides NEMT benefits for medical appointments. Trip allowances vary by plan year. Transportation is coordinated through a broker who assigns NEMT providers. You can request Dream Care Rides as your preferred provider.
Several Aetna Medicare Advantage plans in Illinois include transportation to medical appointments. Benefits typically include a fixed number of one-way trips or a dollar allowance per year. Some Aetna plans offer 24 trips; others offer up to 60.
Humana plans in Illinois frequently include 24 to 60 one-way transportation trips per year. Some plans also provide a supplemental benefits allowance that can be applied to additional transportation costs beyond the trip limit.
UnitedHealthcare's D-SNP plans include NEMT benefits coordinated through Modivcare. These plans generally offer more generous trip allowances than standard Medicare Advantage plans because they are designed for dual-eligible patients with higher healthcare needs.
Select BCBS Medicare Advantage plans in Illinois offer transportation benefits. Coverage varies significantly between plan tiers — check your specific plan's Summary of Benefits for transportation details.
To verify whether your Medicare Advantage plan covers doctor visit transportation, call the member services number on the back of your insurance card. Ask: “Does my plan include non-emergency medical transportation to doctor appointments?” Get the specific number of covered trips, prior authorization requirements, and in-network providers.
Need help checking your benefits? Call Dream Care Rides at (708) 505-6994 — we work with all major Illinois Medicare Advantage plans and can verify your transportation benefit over the phone.
Follow these steps to determine your coverage:
Look at your insurance card. If it shows only the Medicare logo (red, white, blue) with no insurance company name, you have Original Medicare — no NEMT coverage. If it displays a company name (Aetna, Humana, UnitedHealthcare, Meridian, Molina, Blue Cross), you have Medicare Advantage — NEMT may be included.
Every Medicare Advantage plan provides a Summary of Benefits document. Look for “Transportation” or “Non-Emergency Medical Transportation” in the supplemental benefits section. This lists the number of one-way trips covered and any restrictions.
Call the number on the back of your card and ask specifically about: total one-way trips per year, prior authorization requirements, lead time for booking (24 to 72 hours is typical), in-network NEMT providers, and whether the benefit covers rides to primary care, specialist, and therapy appointments.
Call (708) 505-6994 with your insurance card handy. We verify your transportation benefit, check our network status with your plan, and schedule your ride — all in one call. If your plan does not cover NEMT, we provide an immediate private pay quote.
If you qualify for both Medicare and Medicaid (dual-eligible), your transportation to doctor appointments is covered through Medicaid's NEMT benefit — with no trip limit. This is the most comprehensive medical transportation coverage available.
Illinois Medicaid covers non-emergency medical transportation to all medically necessary appointments, including:
Illinois Medicaid NEMT is administered through managed care organizations (MCOs): Meridian, Molina, CountyCare, Blue Cross Community Health Plan, and Aetna Better Health. Each MCO contracts with a transportation broker (typically MTM or Modivcare) who coordinates rides with NEMT providers like Dream Care Rides.
To access Medicaid NEMT, call your MCO's transportation line (found on your Medicaid card) or call Dream Care Rides at (708) 505-6994. We identify your MCO, connect with the broker, and get your rides authorized.
Dual-eligible patients should always use their Medicaid NEMT benefit rather than their Medicare Advantage transportation benefit for doctor appointments, because Medicaid has no trip limit while Medicare Advantage plans cap trips at 24 to 60 per year.
If you have Original Medicare without Medicaid and need rides to the doctor, here are your options:
Medicare Annual Enrollment Period runs October 15 through December 7. You can switch from Original Medicare to a Medicare Advantage plan that includes NEMT. Open Enrollment for Medicare Advantage runs January 1 through March 31, allowing you to switch between Advantage plans. Choose a plan that includes transportation and verify the trip count covers your appointment frequency.
Illinois expanded Medicaid eligibility under the ACA. If your income falls below the Medicaid threshold, you may qualify for dual-eligible status — which provides unlimited NEMT coverage. Apply through the Illinois Department of Human Services (DHS) or at your local Family Community Resource Center (FCRC). Many seniors who believe they earn too much for Medicaid actually qualify under the Medicare Savings Program or Medicaid spend-down provisions.
If you have a disability that prevents you from using fixed-route public transit, you may qualify for ADA paratransit. In the Chicago suburbs, Pace operates paratransit at $3.50 per trip. The application process requires medical documentation and can take 21 days. Paratransit requires booking 1 to 3 days in advance and has a 30-minute pickup window, which means potential wait times.
The AgeOptions (suburban Cook County) and other Area Agencies on Aging in Illinois offer limited transportation programs for seniors. These programs vary by county and typically have income eligibility requirements, limited hours, and advance booking requirements. Contact AgeOptions at (708) 383-0258 or your county's Area Agency on Aging.
When insurance does not cover your rides, private pay NEMT provides the most reliable doctor appointment transportation. Dream Care Rides offers:
| Service | Base Rate | Per Mile |
|---|---|---|
| Ambulatory (Sedan/SUV) | $35 – $65 | $2 – $4/mi |
| Wheelchair (ADA Van) | $65 – $115 | $3 – $6/mi |
| Stretcher (Ambulette) | $300 – $525 | $5 – $16/mi |
Surcharges apply for weekends (1.5× base rate) and holidays (2.25× base rate). Wait time is billed at $15 – $30 per 15 minutes. Additional surcharges: oxygen equipment $25, stairchair $25.
For most doctor appointment trips (ambulatory, under 20 miles round trip), a typical ride costs between $35 – $65 base plus mileage. Call (708) 505-6994 for an exact quote based on your pickup and drop-off locations.
Whether your rides are covered by insurance or you are paying privately, booking with Dream Care Rides takes less than 5 minutes:
For recurring appointments (weekly therapy, monthly specialist visits), ask about setting up a standing order. A standing order pre-schedules your rides on the same days and times so you do not need to call before each appointment.
Dream Care Rides serves doctor offices, clinics, and hospitals throughout Illinois, including Cook, Will, DuPage, Kane, Lake, McHenry, and Kendall counties. For a complete list of cities we serve, visit our coverage area page.
No. Original Medicare (Parts A and B) does not cover non-emergency medical transportation to doctor appointments. The only transportation Original Medicare covers is emergency ambulance transport when medically necessary. For rides to the doctor, you need a Medicare Advantage plan with NEMT benefits, Medicaid, or private pay. Call (708) 505-6994 to discuss your options.
Meridian Complete, Molina Dual Complete, Aetna Medicare Advantage, Humana Gold Plus, UnitedHealthcare Dual Complete, and select Blue Cross Blue Shield plans offer NEMT benefits in Illinois. Trip limits typically range from 24 to 60 one-way trips per year. Dual-eligible special needs plans (D-SNPs) generally offer the most generous benefits.
Call the member services number on the back of your insurance card and ask: “Does my plan include non-emergency medical transportation to doctor appointments?” You can also call Dream Care Rides at (708) 505-6994 and we will verify your transportation benefit over the phone.
NEMT is transportation to and from medical appointments for patients who do not require emergency ambulance services. NEMT includes ambulatory vehicles (sedans and SUVs), wheelchair-accessible vans, and stretcher vehicles (ambulettes). NEMT providers like Dream Care Rides offer door-to-door assistance, trained drivers, and pre-scheduled rides.
Original Medicare does not cover any transportation to doctor appointments, including rideshare. Some Medicare Advantage plans partner with Lyft or Uber Health for their transportation benefit, but the ride must be booked through the plan's transportation coordinator — you cannot use your personal Lyft or Uber account and expect reimbursement. NEMT providers like Dream Care Rides offer advantages over rideshare: trained drivers, door-to-door assistance, wheelchair vehicles, and standing orders for recurring appointments.
Ambulatory (sedan/SUV) transport costs $35 – $65 base rate plus $2 – $4 per mile. Wheelchair transport costs $65 – $115 base plus $3 – $6 per mile. Stretcher transport costs $300 – $525 base plus $5 – $16 per mile. Most doctor visit rides use ambulatory service. Call (708) 505-6994 for an exact quote based on your locations.
Dream Care Rides provides doctor appointment transportation throughout the Chicago metropolitan area and across Illinois, including Cook, Will, DuPage, Kane, Lake, McHenry, and Kendall counties. We serve all major hospitals, medical centers, clinics, and physician offices.
For a complete list of cities we serve, visit our coverage area page. For our full pricing schedule, visit our rates page.
Missing doctor appointments leads to unmanaged chronic conditions, delayed diagnoses, and preventable emergency room visits. Do not let transportation be the reason you skip your next appointment.
Book online: dreamcarerides.com/booking
Call us: (708) 505-6994
Dream Care Rides — reliable medical transportation to doctor appointments with door-to-door assistance, trained drivers, and Medicare Advantage and Medicaid acceptance across Illinois.
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Founder & CEO, Dream Care Rides | NPI #1033989991
Licensed NEMT provider headquartered in Olympia Fields, IL.

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